Gender norms and mass deworming program access in Comé, Benin: A qualitative assessment of gender-associated opportunities and challenges to achieving high mass drug administration coverage.
Journal
PLoS neglected tropical diseases
ISSN: 1935-2735
Titre abrégé: PLoS Negl Trop Dis
Pays: United States
ID NLM: 101291488
Informations de publication
Date de publication:
04 2020
04 2020
Historique:
received:
17
07
2019
accepted:
19
02
2020
entrez:
18
4
2020
pubmed:
18
4
2020
medline:
7
7
2020
Statut:
epublish
Résumé
The World Health Organization's Neglected Tropical Disease Roadmap has accelerated progress towards eliminating select neglected tropical diseases (NTDs). This momentum has catalyzed research to determine the feasibility of interrupting transmission of soil-transmitted helminths (STH) using community-wide mass drug administration (MDA). This study aims to identify potential gender-specific facilitators and barriers to accessing and participating in community-wide STH MDA, with the goal of ensuring programs are equitable and maximize the probability of interrupting STH transmission. This research was conducted prior to the launch of community-wide MDA for STH in Comé, Benin. A total of 10 focus group discussions (FGDs) were conducted separately among 40 men, 38 women, and 15 community drug distributors (CDDs). Salient themes included: both men and women believe that community-wide MDA would reduce the financial burden associated with self-treatment, particularly for low income adults. Community members believe MDA should be packaged alongside water, sanitation, and other health services. Women feel past community-wide programs have been disorganized and are concerned these distributions will be similar. Women also expressed interest in increased engagement in the implementation of future community-based public health programs. Men often did not perceive themselves to be at great risk for STH infection and did not express a high demand for treatment. Finally, the barriers discussed by CDDs generally did not align with gender-specific concerns, but rather represented concerns shared by both genders. A door-to-door distribution strategy for STH MDA is preferred by women in this study, as this platform empowers women to participate as health decision makers for their family. In addition, involving women in planning and implementation of community-wide programs may help to increase treatment coverage and compliance.
Identifiants
pubmed: 32302298
doi: 10.1371/journal.pntd.0008153
pii: PNTD-D-19-01131
pmc: PMC7164589
doi:
Substances chimiques
Soil
0
Water
059QF0KO0R
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e0008153Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
Parasit Vectors. 2016 Jan 27;9:29
pubmed: 26813098
Trop Parasitol. 2017 Jul-Dec;7(2):81-85
pubmed: 29114484
J Clin Epidemiol. 2014 Jan;67(1):56-64
pubmed: 24189091
Parasit Vectors. 2016 Jun 16;9(1):345
pubmed: 27305942
Women Health. 2015;55(2):227-43
pubmed: 25774454
BMJ Glob Health. 2017 Nov 12;2(4):e000512
pubmed: 29177100
Food Nutr Bull. 2017 Sep;38(3):302-318
pubmed: 28443373
Public Health Nutr. 2012 May;15(5):916-27
pubmed: 22014596
Philos Trans R Soc Lond B Biol Sci. 2014 May 12;369(1645):20130435
pubmed: 24821921
Infect Dis Poverty. 2017 Oct 11;6(1):135
pubmed: 29017587
Infect Dis Poverty. 2017 Oct 9;6(1):139
pubmed: 28988538
BMJ Open. 2017 Mar 10;7(3):e013853
pubmed: 28283489
PLoS Negl Trop Dis. 2018 Jan 18;12(1):e0006166
pubmed: 29346377
PLoS Negl Trop Dis. 2018 Mar 1;12(3):e0006241
pubmed: 29494579
BMC Public Health. 2017 Jun 14;17(1):575
pubmed: 28615011
Implement Sci. 2009 Aug 07;4:50
pubmed: 19664226
PLoS Negl Trop Dis. 2017 Dec 6;11(12):e0006065
pubmed: 29211746
Health Policy Plan. 2016 Oct;31(8):1069-78
pubmed: 27117482
Am J Trop Med Hyg. 2005 Oct;73(4):783-9
pubmed: 16222026
Parasit Vectors. 2018 Mar 12;11(1):179
pubmed: 29530082
PLoS Negl Trop Dis. 2013 Jul 11;7(7):e2312
pubmed: 23875047